一种用于评估继续职业发展活动后行为意向变化的简单工具的反应性。
Responsiveness of a simple tool for assessing change in behavioral intention after continuing professional development activities.
作者信息
Légaré France, Freitas Adriana, Turcotte Stéphane, Borduas Francine, Jacques André, Luconi Francesca, Godin Gaston, Boucher Andrée, Sargeant Joan, Labrecque Michel
机构信息
CHU de Québec Research Centre, Quebec City, Quebec, Canada.
Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, Canada.
出版信息
PLoS One. 2017 May 1;12(5):e0176678. doi: 10.1371/journal.pone.0176678. eCollection 2017.
BACKGROUND
Continuing professional development (CPD) activities are one way that new knowledge can be translated into changes in practice. However, few tools are available for evaluating the extent to which these activities change health professionals' behavior. We developed a questionnaire called CPD-Reaction for assessing the impact of CPD activities on health professionals' clinical behavioral intentions. We evaluated its responsiveness to change in behavioral intention and verified its acceptability among stakeholders.
METHODS AND FINDINGS
We enrolled 376 health professionals who completed CPD-Reaction before and immediately after attending a CPD activity. We contacted them three months later and asked them to self-report on any behavior change. We compared the mean rankings on each CPD-Reaction construct before and immediately after CPD activities. To estimate its predictive validity, we compared the median behavioral intention score (post-activity) of health professionals reporting a behavior change three months later with the median behavioral intention score of physicians who reported no change. We explored stakeholders' views on CPD-Reaction in semi-structured interviews. Participants were mostly family physicians (62.2%), with an average of 19 years of clinical practice. Post-activity, we observed an increase in intention-related scores for all constructs (P < 0.001) with the most appreciable for the construct beliefs about capabilities. A total of 313 participants agreed to be contacted at follow up, and of these only 69 (22%) reported back. Of these, 43 (62%) self-reported a behavior change. We observed no statistically significant difference in intention between health professionals who later reported a behavior change and those who reported no change (P = 0.30). Overall, CPD stakeholders found the CPD-Reaction questionnaire of interest and suggested potential solutions to perceived barriers to its implementation.
CONCLUSION
The CPD-Reaction questionnaire seems responsive to change in behavioral intention. Although CPD stakeholders found it interesting, future implementation will require addressing barriers they identified.
背景
持续专业发展（CPD）活动是将新知识转化为实践变革的一种方式。然而，用于评估这些活动在多大程度上改变卫生专业人员行为的工具很少。我们开发了一份名为CPD反应问卷，用于评估CPD活动对卫生专业人员临床行为意图的影响。我们评估了其对行为意图变化的反应性，并验证了其在利益相关者中的可接受性。
方法与结果
我们招募了376名卫生专业人员，他们在参加CPD活动之前和之后立即完成了CPD反应问卷。三个月后，我们联系他们并要求他们自我报告任何行为变化。我们比较了CPD活动之前和之后每个CPD反应结构的平均排名。为了估计其预测效度，我们将三个月后报告有行为变化的卫生专业人员的行为意图得分中位数（活动后）与报告无变化的医生的行为意图得分中位数进行了比较。我们在半结构化访谈中探讨了利益相关者对CPD反应问卷的看法。参与者大多是家庭医生（62.2%），平均有19年的临床实践经验。活动后，我们观察到所有结构中与意图相关的得分都有所增加（P < 0.001），其中关于能力信念的结构增加最为明显。共有313名参与者同意在随访时被联系，其中只有69人（22%）回复。在这些回复者中，43人（62%）自我报告有行为变化。我们观察到，后来报告有行为变化的卫生专业人员和报告无变化的人员之间在意图方面没有统计学上的显著差异（P = 0.30）。总体而言，CPD利益相关者对CPD反应问卷感兴趣，并提出了应对其实施过程中所察觉到的障碍的潜在解决方案。
结论
CPD反应问卷似乎对行为意图的变化有反应。尽管CPD利益相关者认为它很有趣，但未来的实施将需要解决他们所识别出的障碍。
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